Active NPI
Gloversville Family Dentistry,LLP
- General Practice Dentistry
- Gloversville, NY
National Provider Identifier
1114025707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GLOVERSVILLE FAMILY DENTISTRY,LLP
- Practice address
- 22 1St Ave
Gloversville, NY 12078-3102 - Phone
- (518) 725-1031
- Fax
- (518) 773-4310
- NPI assigned
- Sep 20, 2006
- Last updated
- Jan 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew S Levine, DDS
- Title
- Owner
- Phone
- (518) 725-1031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
22 1St Ave
Gloversville, NY 12078-3102
Mailing address
PO Box 393
Gloversville, NY 12078-0004
Phone (518) 725-1031
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00915797 | Medicaid | NY | |
| 7682 | Other | NY | CDPHP |
| 731610 | Other | NY | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
22 1st Ave
Gloversville, NY 12078
Phone (518) 725-1031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Gloversville, NY
- NPI 1609554708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1114025707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120780004",
"telephone_number": "518-725-1031",
"fax_number": "518-773-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 1ST AVE",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120783102",
"telephone_number": "518-725-1031",
"fax_number": "518-773-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOVERSVILLE FAMILY DENTISTRY,LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-725-1031",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00915797",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "7682",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "731610",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gloversville, NY
- Keira Glasheen, AU.D.
- John L Glenn, MD
- Gloversville Chiropractic & Physical Therapy, PLLC
- Gloversville Emergency Medicine Services PC
- Gloversville Enlarged School District
- Gloversville Physician Medicine Services PC
- Jessie Michelle Goldberg-Pohl
- Michelle Golden, LCSW
- Linda Goldstein
- Jessica Gracia, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.